The Rhode Island Executive Office of Health and Human Services (EOHHS) Healthcare Portal provides a comprehensive digital platform designed to streamline healthcare provider operations and enhance administrative efficiency. This secure online system offers Rhode Island healthcare professionals a centralized solution for critical administrative tasks.
Official Portal Links
What Providers Can Do
The Healthcare Portal enables providers to:
- Verify patient eligibility
- Submit and track claims
- Access remittance advice
- Process prior authorizations
- Check claim status
- Manage provider information
Who Can Use the Portal
The portal is exclusively available to:
- Healthcare providers
- Billing entities
- Clearinghouses
- Trading partners registered with Rhode Island Medicaid
Access and Registration Process
New Trading Partners
Providers must:
- Enroll electronically through the Healthcare Portal
- No paper documentation required
- Complete online registration process
Existing Trading Partners
- Must register on the new Healthcare Portal
- Required to access essential business information
Key Portal Features
Electronic Services
- Electronic Data Interchange (EDI)
- Claims processing
- Eligibility verification
- Remittance advice retrieval
Support Channels
- Phone Support:
- Local/Long Distance: (401) 784-8100
- In-state Toll Calls: (800) 964-6211
- Email: RI EDI Services
Privacy and Security
The portal emphasizes:
- HIPAA compliance
- Secure electronic transactions
- Protected provider and patient information
User Guides and Resources
EOHHS provides multiple self-paced user guides:
- Enrolling as a New Trading Partner
- Registering for Healthcare Portal
- Portal Usage Instructions
- Managing Covered Providers Guide
Quick Reference Guides Available
- Mass Immunizer Roster Billing
- Password Assistance
- Registration Tips
- Web Services Access
- Claims Search
- Remittance Advice Navigation
Technical Requirements
While specific technical requirements aren’t detailed in the source document, providers should ensure:
- Stable internet connection
- Updated web browser
- Valid login credentials
Contact Information
Executive Office of Health and Human Services
3 West Road
Cranston, RI 02920
Limitations and Disclaimers
Unprovided Information
- Specific app download instructions
- Detailed technical specifications
- Comprehensive login procedure steps
The Rhode Island Medicaid Provider Portal represents a critical digital infrastructure supporting healthcare providers, offering streamlined, secure administrative processes that enhance operational efficiency.
Recommended Next Steps
- Visit the official EOHHS Healthcare Portal
- Review user guides
- Complete trading partner registration
- Familiarize yourself with portal features
Disclaimer: Information accurate as of July 2023. Always verify current procedures with EOHHS directly.
FAQ
What is Medicaid called in Rhode Island?
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Medicaid Planning Assistancehttps://www.medicaidplanningassistance.orgRhode Island Medicaid Eligibility: 2025 Income & Asset LimitsJun 5, 2025 — Medicaid in Rhode Island is called Medical Assistance (MA). The state’s entire Medicaid program operates under the Rhode Island Comprehensive Demonst…
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Rhode Island Government (.gov)https://staycovered.ri.govOverview: What is Medicaid? | Stay Covered Rhode IslandMay 12, 2025 — Overview: What is Medicaid ( Medicaid Benefits ) ? Medicaid ( Medicaid Benefits ) is a health insurance program. Rhode Island Medicaid will pay for …
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Rhode Island Government (.gov)https://eohhs.ri.govRHODE ISLAND MEDICAID DIRECT SERVICES GUIDEBOOK FOR LOCAL EDUCATION AGENCIES (LEAs)Sep 30, 2020 — Medicare primarily serves people over 65, despite means and income. There is a subgroup of Medicare recipients who do not meet the age criteria but …
How do I contact Medicaid in ri?Our Call Center staff can be reached by calling 1-855-MY-RIDHS (1-855-697-4347) Monday, Tuesday, Thursday and Friday, except holidays, 8:30AM-3PM and should …Jun 12, 2025
How do I renew my Medicaid in ri?There are four ways to renew:
By Phone: Call HealthSource RI at 1-855-840-4774 Monday through Friday, except holidays, from 8 a.m. to 6 p.m. or call DHS at 1-855-697-4347 Monday, Tuesday, Thursday, and Friday, except holidays, from 8:30 a.m. to 3 p.m.
https://www.riproviderportal.org/
What can you do in the RI Medicaid Health Care Portal. Through this secure and easy to use internet portal: Healthcare providers and Billing Agents can
https://eohhs.ri.gov/providers-partners/healthcare-portal
Providers must use the Healthcare Portal for access to information, including eligibility verification, remittance advice, prior authorization, claim status.